Brenham Nursing And Rehabilitation Center

400 E Sayles St
Brenham, TX 77833
Washington County
Phone: 979-836-9770
Provider Number: 675799
Last Inspection: 05/21/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
128
Number of Residents
Number of
Residents
111
Number of Beds Available
Beds Available
17
Percent Occupancy
Percent Occupancy
87%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 46
  • 27
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 46
  • 70
  • 51
Lower Numbers are Better

Details by Inspection Date

 

5/21/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 6/25/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 6/25/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 6/25/2015
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 6/25/2015
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern : Minimal 4 6/25/2015
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/25/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/25/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/25/2015
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 6/25/2015
Failed To: Try to resolve each resident's complaints quickly. Widespread : Minimal 5 6/25/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 6/25/2015
 

7/3/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Pattern : Minimal 4 7/29/2014
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 7/29/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Minimal 5 7/29/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 7/29/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 7/29/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 7/29/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/29/2014
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 7/29/2014
Failed To: Provide special eating equipment and utensils for each resident who needs them. Pattern : Minimal 4 7/29/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/29/2014
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 7/29/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/29/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/29/2014
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 7/29/2014
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 7/29/2014
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 7/29/2014
 

4/26/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 5/25/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 5/25/2013
Failed To: Try to resolve each resident's complaints quickly. Widespread : Minimal 5 5/25/2013
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 5/25/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 5/25/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Widespread : Minimal 5 5/25/2013
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 5/25/2013
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 5/25/2013
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 5/25/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/25/2013
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 5/25/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

1/30/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/31/2015
 

2/14/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 2/14/2014
 

10/17/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 11/15/2013
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 11/15/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 11/15/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 111 57.00 76.40
Registered Nurses 0.50 0.54 0.60
Licensed Practical / Vocational Nurses 0.82 0.73 0.92
Certified Nursing Assistants 2.22 1.80 2.18
Total Staff Hours 3.53 3.07 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 9 8 6
Long Stay Residents Experiencing One or More Falls with Major Injury 5 3 3
Long Stay Residents Who Have Depressive Symptoms 2 1 6
Long Stay Residents Who Lose Too Much Weight 8 4 6
Long Stay Residents Who Received an Antipsychotic Medication 19 25 22
Long Stay Residents Who Self Report Moderate to Severe Pain 7 5 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 19 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 10 9
Long Stay Residents Who Were Physically Restrained 1 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 18 21 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 4 2 3
Long Stay Residents With a Urinary Tract Infection 6 5 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 38 46 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 5 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 6 7 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 32 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 18 32 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 2 1